Improve Your Well-being Through Coaching:
Connect, Engage, Thrive! Kerri Palamara, MD
SGO Annual Meeting March 2018
Acknowledgments
The MGH Professional Development Coaching Program was designed in conjunction with the Carol Kauffman, PhD at the McLean Institute of Coaching
The MGH Professional Development Coaching Program research has been funded by 3 non-profit foundations:
After this talk you will be able to:• Analyze the drivers of physician well-being• Discuss the role of positive psychology and coaching in physician
well-being• Describe the institutional approach to improving physician well-
being• Engage in positive psychology coaching exercises to improve YOUR
well-being
Shanafelt et al Mayo ClinProc 2015
Shift Balance Toward Well-being
Shanafelt & Noseworthy, Mayo Clin Proc 2016
Enough About Burnout!
• Well-being ≠absence of burnout • Joy in Practice – connection to
purpose, meaning • Professional Fulfillment – happiness,
self-worth, self-efficacy, workplace satisfaction
• Drivers – appreciation, peer support, alignment of goals/values, schedule control, efficiency of practice, workload, autonomy
The Engaged Physician
• Positive, fulfilling, work- related state of mind
• Characterized by vigor, dedication, and absorption
• Improves patient experiences, outcomes, turnover
• Relationship between the physician and the institution/leadership
• Value, respect, work/life integration, voice, autonomy at core
Stark, Med Pract Mgmt 2014
Physician Well-being Framework
Engaged Physician
Professional Fulfillment
Joy in Practice
High Well-being
Innate Physician Traits
• Positivity• Hardiness• Gratitude• Tolerance of
Uncertainty• Ambition
Modifiable Physician Traits
• Coping• Self-awareness• Purpose
Contributing Factors
• Relationships• Individual
wellness• Work-life
integration• Supportive
leadership• Connections
Palamara et al
Well-being Fuels Optimal Performance
Yerkes-Dodson Curve
What exactly is coaching?
• Takes a valued person from where they are to where they want to be – Old Webster Dictionary
• Unlocks a person’s potential to maximize performance
• NOT fixing people – helping them be their best selves
Positive Psychology 101
Coaching Exercise #1The Positive Introduction
Jump right in!
Coaches ASK: If you scan over the past week, can you find a moment when you felt really great?
Then LISTEN, do not speak.
SWITCH ROLES AFTER 2 MINUTES
Debrief:What was that like?
Coaching 101
• Practice your inquiry – listen to understand!
• Reflect back what you are hearing• Let THEM do most of the talking!• Ask powerful questions for
THEM, not for you• Help them find growth edge
Ask Powerful Questions
Develop a Future
Orientation
Start with the Goal
Before Diving Into Reality!
Challenge Long-held Beliefs
Pathways to Happiness & Flourishing
Happiness Boosters
Examples• 3 Good Things• Gratitude moments• Have a belief mindset• Something to look forward to • Be a positive role model• Connect with others• Random acts of kindness• Mindfulness – music, photos,
brief pauses, breathing, reflective writing, laughter
• Exercise
Exercise #2: What Is YOUR
Happiness Booster?
Who wants to share?
Know Your Happiness Booster
• Reach for it when you need an infusion or energy or enthusiasm…or sooner
• Rewire your brain in small steps toward a happier state of being
• Be more productive, creative, efficient
• Know the feeling that tells you when you need it
Putting it All Together
Investing in Well-being• Quality of care, medical errors, patient
satisfaction all linked with BO• Every 1 point ↑ in BO or ↓ in satisfaction
• 30-50% ↑ likelihood they will reduce work effort in next 2 years
• ↓ academic productivity by 15% • Physician turnover
• Cost to replace MD >3X salary• Leads to increased BO in colleagues• Decreased quality of care for remaining
patients
• $1M investment $1.2M returnShanafelt et al 2017 JAMA IM
IHI 2017 Framework for Improving Joy in Work
What Can YOU Do?
Using This Over Course of Career
JGME 2018
Using This With Others
• Connect! • Share positive stories–
water cooler, elevator, while scrubbing in
• Before a case --> have team share good story, use your happiness booster
• Approach challenges, problems & goals with vision of success
• Ask “what” and ”how” questions
What to think about on your flight
• How can you use your happiness booster?
• How can you connect more in your workday?
• What matters to you? Who in leadership could you share that with?
• What fills your tank? Depletes it?• Got wifi? Try a VIA strengths finder
Hopefully by now you are able to:
• Analyze the drivers of physician well-being
• Discuss the role of positive psychology and coaching in physician well-being
• Describe the institutional approach to improving physician well-being
• Use what you learned to improve YOUR well-being
Questions? [email protected]
Top Related